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Picking this up instead of Shogun is very much something you can do if there is a lot of healing in the enemy team.
Stone of Gaia
If the enemy team has a lot of knockup, knockback, pull or grab abilities, feel free to grab this, it provides a ton of health which will help with abusing the Blood-Soaked Shroud. Though it offers no protection stats, so be wary.
In this patch, we are going to see a lot more crit builds coming from the duo lane. This item is perfect for that and the removal of boots allows us to build Spectral armor comfortably as we don't really need to sacrifice an item slot for it anymore.
This is a solid option for a late-game item slot as it provides health, power and it steals 8% max mana and 6% max health from targets hit with abilities + 20% CCR, which can be a lifesaver.
Celestial Legion Helm
This could be built instead of Tyrannical, though I don't see much reasoning for it, it can definitely be viable.
Ignoring the Blood-Soaked Shroud and going for Sundering Axe start can bring you a HUGE team-fight advantage, providing allies with 15% of your maximum health whenever they are hit with a hard CC ability. This item is going to be picked up A LOT in this patch I believe.
You can pick this up for the Shogun's if you feel it's worth it. it provides the 10% CDR needed, provides health and provides a superior amount of magical protection, as well as a neat passive that lowers your cooldowns more!
Honestly ignore anything below this I don't have time to read it and review it, it might be outdated or true, IDK, I'm just here to provide updated builds.
This is by no means a full guide on Cthulhu, I just wanted to share my thoughts on how to build Cthulhu in this new patch and share with you the success that I've had with playing him in the meta.
Just a warning, since we are Cthulhu and we are building a lot of health, with extensive health given on the ultimate, Qin Sais built by hunters can shred you very fast. To counteract this, we build thorns and should pop them before ulting into a teamfight to try to mitigate this a bit. If you have a team, they should be able to easily capitilise to the CC and destruction you will inflict on your opponent via your ultimate :)
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